DEIDRA SANFORD
NPI 1386106649
Nurse Practitioner - Family in Chicago, IL

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
9119 S EXCHANGE AVE, CHICAGO, IL 60617(773) 299-4616 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2021, Apr 26, 2019, Apr 4, 2019 (3 updates tracked since 2019).

About Deidra Sanford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA SANFORD (NPI 1386106649) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.018992) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386106649
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIDRA SANFORD
Location Address9119 S EXCHANGE AVEChicago, IL 60617-4225
Mailing Address9119 S Exchange AveChicago, IL 60617-4225
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1386106649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.018992
9119 S EXCHANGE AVE, Chicago, IL 60617

Secondary Practice Locations 2

Location 12600 S Michigan Ave Ste 100Chicago, IL 60616-2857 · Phone (312) 996-2655
Location 21309 S Halsted StChicago, IL 60607-5003 · Phone (312) 996-2655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deidra Sanford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921332305
PECOS Enrollment IDI20190619002451
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Social Worker
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Nurse Practitioner
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Counselor (Professional)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Social Worker (Clinical)
9119 S EXCHANGE AVE
CHICAGO, IL 60617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Sanford's NPI number?

The NPI number for Deidra Sanford is 1386106649. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Deidra Sanford located?

Deidra Sanford practices at 9119 S Exchange Ave, Chicago, IL 60617. The listed phone number is (773) 299-4616.

What is Deidra Sanford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deidra Sanford enrolled in Medicare?

Yes. Deidra Sanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deidra Sanford was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.